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Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation
Intestinal dysmotility is common in many diseases and is correlated with gut microbiota dysbiosis and systemic inflammation. Functional constipation (FC) is the most typical manifestation of intestinal hypomotility and reduces patients’ quality of life. Some studies have reported that fecal micriobi...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8529243/ https://www.ncbi.nlm.nih.gov/pubmed/34690948 http://dx.doi.org/10.3389/fmicb.2021.700718 |
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author | Zhang, Xueying Li, Ning Chen, Qiyi Qin, Huanlong |
author_facet | Zhang, Xueying Li, Ning Chen, Qiyi Qin, Huanlong |
author_sort | Zhang, Xueying |
collection | PubMed |
description | Intestinal dysmotility is common in many diseases and is correlated with gut microbiota dysbiosis and systemic inflammation. Functional constipation (FC) is the most typical manifestation of intestinal hypomotility and reduces patients’ quality of life. Some studies have reported that fecal micriobiota transplantation (FMT) may be an effective and safe therapy for FC as it corrects intestinal dysbiosis. This study was conducted to evaluate how FMT remodels the gut microbiome and to determine a possible correlation between certain microbes and clinical symptoms in constipated individuals. Data were retrospectively collected on 18 patients who underwent FMT between January 1, 2019 and June 30, 2020. The fecal bacterial genome was detected by sequencing the V3–V4 hypervariable regions of the 16S rDNA gene. Fecal short chain fatty acids (SCFAs) were detected by gas chromatography-mass spectrometry, and serum inflammatory factor concentrations were detected via enzyme-linked immunosorbent assay. Comparing the changes in fecal microbiome compositions before and after FMT revealed a significant augmentation in the alpha diversity and increased abundances of some flora such as Clostridiales, Fusicatenibacter, and Paraprevotella. This was consistent with the patients experiencing relief from their clinical symptoms. Abundances of other flora, including Lachnoanaerobaculum, were decreased, which might correlate with the severity of patients’ constipation. Although no differences were found in SCFA production, the butyric acid concentration was correlated with both bacterial alterations and clinical symptoms. Serum IL-8 levels were significantly lower after FMT than at baseline, but IL-4, IL-6, IL-10, and IL-12p70 levels were not noticeably changed. This study showed how FMT regulates the intestinal microenvironment and affects systemic inflammation in constipated patients, providing direction for further research on the mechanisms of FMT. It also revealed potential microbial targets for precise intervention, which may bring new breakthroughs in treating constipation. |
format | Online Article Text |
id | pubmed-8529243 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85292432021-10-22 Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation Zhang, Xueying Li, Ning Chen, Qiyi Qin, Huanlong Front Microbiol Microbiology Intestinal dysmotility is common in many diseases and is correlated with gut microbiota dysbiosis and systemic inflammation. Functional constipation (FC) is the most typical manifestation of intestinal hypomotility and reduces patients’ quality of life. Some studies have reported that fecal micriobiota transplantation (FMT) may be an effective and safe therapy for FC as it corrects intestinal dysbiosis. This study was conducted to evaluate how FMT remodels the gut microbiome and to determine a possible correlation between certain microbes and clinical symptoms in constipated individuals. Data were retrospectively collected on 18 patients who underwent FMT between January 1, 2019 and June 30, 2020. The fecal bacterial genome was detected by sequencing the V3–V4 hypervariable regions of the 16S rDNA gene. Fecal short chain fatty acids (SCFAs) were detected by gas chromatography-mass spectrometry, and serum inflammatory factor concentrations were detected via enzyme-linked immunosorbent assay. Comparing the changes in fecal microbiome compositions before and after FMT revealed a significant augmentation in the alpha diversity and increased abundances of some flora such as Clostridiales, Fusicatenibacter, and Paraprevotella. This was consistent with the patients experiencing relief from their clinical symptoms. Abundances of other flora, including Lachnoanaerobaculum, were decreased, which might correlate with the severity of patients’ constipation. Although no differences were found in SCFA production, the butyric acid concentration was correlated with both bacterial alterations and clinical symptoms. Serum IL-8 levels were significantly lower after FMT than at baseline, but IL-4, IL-6, IL-10, and IL-12p70 levels were not noticeably changed. This study showed how FMT regulates the intestinal microenvironment and affects systemic inflammation in constipated patients, providing direction for further research on the mechanisms of FMT. It also revealed potential microbial targets for precise intervention, which may bring new breakthroughs in treating constipation. Frontiers Media S.A. 2021-10-07 /pmc/articles/PMC8529243/ /pubmed/34690948 http://dx.doi.org/10.3389/fmicb.2021.700718 Text en Copyright © 2021 Zhang, Li, Chen and Qin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Microbiology Zhang, Xueying Li, Ning Chen, Qiyi Qin, Huanlong Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation |
title | Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation |
title_full | Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation |
title_fullStr | Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation |
title_full_unstemmed | Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation |
title_short | Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation |
title_sort | fecal microbiota transplantation modulates the gut flora favoring patients with functional constipation |
topic | Microbiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8529243/ https://www.ncbi.nlm.nih.gov/pubmed/34690948 http://dx.doi.org/10.3389/fmicb.2021.700718 |
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